DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20203894

Utilization of antenatal care services in a rural area of Nalgonda district, Telangana state, India

K. Jahnavi, Kondagunta Nagaraj, Abhay Subhashrao Nirgude

Abstract


Background: Majority of maternal deaths can be prevented through appropriate maternal health services during antenatal, natal and post natal period Reasons for non-utilization of Antenatal health services could be due to various social, cultural and economic factors. Therefore, keeping this in view, this study was conducted to assess the utilization pattern of antenatal services by mothers, the facilitators of utilization of services.

Methods: It is a Community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally telangana. This study was conducted from September 2012-October 2014. A pre-designed and pre-tested questionaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.

Results: Majority (91.5%) of the mothers had three or more than three antenatal visits. Antenatal visits less than 3 was seen in only 8.5% of mothers. Mothers who took minimum of 2 tetanus toxoid injections were 93.6%.  But only 37.7% of the mothers consumed 100 IFA tablets. Majority (68.6%) of the mothers received antenatal care from doctor and 22.9% of mothers from both doctor and ANM.

Conclusions: Majority of the mothers received antenatal care from private health facility followed by government health facilities. Better care and advice from health staff was the prime determinant for utilization.


Keywords


Antenatal care, Maternal health, Utilization

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References


Park K. Park’s Text book of Preventive and Social Medicine. 22nd ed. Jabalpur: Banarsidas Bhanot Publishers; 2013: 480-562.

Health Management Information System (HMIS) Analysis Andhra pradesh Apr’11 to Sep’11 National Health Systems Resource Centre. Available from: www.nhsrcindia.org/index.php. Accessed on 28 October 2013.

Andhra Pradesh Apr’12 to Jan’13 - Comparison with Last Year Performance using HMIS data from National Web portal National Health Systems Resource Centre. Available at: www.nhsrcindia.org. Accessed on 28 October 2019.

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS. Available at: http://rchiips.org/nfhs/NFHS-3%20Data/VOL-2/Report-%20Volume-II(1632K).pdf. Accessed on 10 June 2020.

National Health Family Welfare. Coverage Evaluation survey-2009. Available at: http://www.indiaenvironmentportal.org.in/files/National_Factsheet_30_August_no_logo.pdf.

Rudramma J. Utilization of Antenatal, Intranatal and Postnatal Health Care Services by Mothers in Rural Field Practice Area of JNMC, Belgaum-A Cross Sectional Study (Doctoral dissertation, KLE University, Belgaum, Karnataka). 2010.

Banerjee B. Maternal Care Rendered at an urban health centre of a metropolitan city. Indian J Community Med. 2006;31(3):183-4.

Das R, Ali Amir, Paprinath. Utilization and coverage of services by woman of Jawan block in Aligarh. Indian J Community Med. 2001;26(2):94-100.

Agarwal N, Galhotra A, Swami HM. A study on coverage utilization and quality of maternal care services. National J Community Med. 2011;2(1):32-6.

Anita G, Pragti C, Kannan AT, Gayatri S. Determinants of utilization pattern of antenatal and delivery services in an urbanized village of east Delhi Indian. Indian J Prev Soc Med. 2010;41:240-5.

Sahu D, Kushwah SS. Factor’s influencing maternal health in Rewa town. Indian J Community Med. 2007;32(2):148.

Banerjee B. Maternal Care Rendered at an urban health centre of a metropolitan city. Indian J Community Med. 2006;31(3):183-4.

Singh S, Singh J, Mittal S, Goel RK, Singh T, Oberoi SK. A study of antenatal services in rural area of district Bathinda of Punjab. J Obst Gynaecol India. 1990;40:22-6.

Agha and Carton. Determinants of institutional delivery in rural Jhang, Pakistan. Inter J Equity in Health. 2011;10:31.

Nisar N, White F. Factors Affecting Utilization of Antenatal Care Among Reproductive Age Group Women (15-49 Years) in an Urban Squatter Settlement of Karachi. J Pakistan Med Associa. 2003;53(2).

Mumbare SS, Rege R. Ante natal care services utilization, delivery practices and factors affecting them in tribal area of North Maharashtra. Indian J Community Medicine: official publication Indian Associa Prevent Social Medicine. 2011;36(4):287.

Digambar A, Chimankar and Harihar Sahoo. Factors influencing the utilization of maternal health care services in Uttarakhand. Ethno Med. 2011;5(3):209-16.

Dairo MD, Owoyokun KE. Factors affecting the utilization of antenatal care services in Ibadan, Nigeria. Benin J Postgraduate Med. 2010;12(1).

Shariff A, Singh G. Determinants of maternal health care utilisation in India: evidence from a recent household survey. New Dehli: National Council of Applied Economic Research; 2002 Feb.

Khan Z, Mehnaz S, Siddiqui AR, Ansari A, Khalil S, Sachdeva S. All slums are not equal: maternal health conditions among two urban slum dwellers. Indian J Community Medicine: official publication Indian Assoc Prevent Social Med. 2012;37(1):50.